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sbowe list" i
set too byMete t.te"s shall be ready and achedu�h for an
f i�tiow JL4 mot 19 schedul"
alsctoe to f4ke by that date, our office
sure these items have been will send
e item are still "complete at cset+leted.
fftS.N for that t If any
residential and $SO. � a ial trip will
k*" to bp d0 for commercial
Pr�Mid before a set;q� ins This charge
rrrl" s" a ttnal Certi[lcate of Pection will be ■&tie
�cupancY issued.
sipls 1►set inspection, call 8
44-6473
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TcMF.;hip Improvement Location Permit
This permit is valid only if construction is started Permit No`►•J �%
rats of issuance date unless rted within 120daysofissuancedate;aliconstru Date
'velopment. an extension of time has Roll Fik
been officially granted b ctlon is completed (c/o iss
y letter by the Director, f�,� �) within two
BUILDER NAME Department of Community
STREET PHONE
TENANT NAME V Ir
Ura 1lcable) U; STATE ZIP ��•�
OWNER
NAME 40
STREE PHONE
NLttO G riTY
LOSTATE
CATION I.fS LOT SUBDIVISION i ZIP
ADDRESS OF CON3Z
UC7,I SECTIOR{
A. T $Q' ROF CONSTRUCTION
I • (d�� Residential (One or Two Family)
2• Residential (Multi -family) A E. ZONING CL SiFiCATI
3• ` ON OF PROPERTY
Commercial •"
4. industrial F. PR
USE 4PROPERTY .
5.0 institutional " 1. Farm/Vacant
B. TYP SEWAGE DISPOSAL Residential l
I Public �� ` ' Q�i1:� '� :' ^�3• Commercial One or Two Famityt
2 (Name of System ,,�+�
Private (Se he Tank, etc.) C/ 4' Industrial
C• TYPE OF WATER �-a a. Other (Specify)
1. Q Public S �r G. PR ED U
2. (� system (Name of System I USE OF PROpE�y ___
Private (Well One or Two Family
D. � IMPROVEMENT ` 2 Multi -family DwellirrR
1• New Stucture `�' ) 3.
2. C_�N.S4
Comte
ommercial Tenant te • industrialAddition ec
Remodel Porch ("her(Specify)
(Specify) y)ESTIMOSTOF
C
s Foundation only
(Excluding
��`�' , *y�3 I Lot 8 Land Value)
'1 �: Demolition y Split: Y�
Accessory Building y Q Flood Zones: Y"7-- oto
1 8. Swimming Pool A. B. C. ----- ,NO
(� 9. Carage K. Sump Pum
Detached Attached L• c�therma thus pw.F
C-) ;The undersigned agrees that an No /
. of land or stuctures Y construction
"Zunin nested b this a • n'conuruction, en
t g Ordinance of Ca y PPlication will co id Co �tocatmm a
! i of the State of Indiana troth, Indiana - Iggp» comply with, and �� ars of structure, or anv chant
and all Acts amendatory adopted t►itdertheauthorityoFACtsOf 1979,1 laws of the State of Ind i ria, a �e in e:h�
+rttdatory them -to. Law l.'8
91 further certify that the construction wi11 not be u Assembly
ommunity DLveloplrfent, Carmel, Indiana. sed or oCe� f certificate of
P ed until a
1furtherccrtifythat only kitchen, Occup jt] �� ilmiiied by the�'Plertnfent 01
. connected t ita bath, laundry and ticwr.irainsarc,
` Sewer
� �7
Sibnat
F6wfn'_'-e00e Inap�troAuthuri�ed Agent
t'0/ 'W' / .sr gh
�sft� _Aft -1 1, image
State " 2
F' 1'hurft•
Sewer cap, r (Nt(
1 >i nti sur, A• >r! r '---•...
I nt of Cunfnulnity laeYe, upm�rnt
Rare! veil B
PLImit (' Square F�.wtabe
5q FcwAgfr)....
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ti fxrtiotts ............
Cert hcale of O upw................
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